Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD.32464 | AL |
Y | 2080P0203X | Pediatric Critical Care Doctor | MD.32464 | AL |
NPI | 1003132259 |
---|---|
Provider Name | Robert Patrick Richter |
First Address | Birmingham, AL 35233-1700 |
Second Address | Birmingham, AL 35233-1711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2010 |
Last Update Date | 11/06/2020 |